Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KARINA J BOUFFARD M.D.
NPI 1245491620
Physical Medicine & Rehabilitation - Pain Medicine in Chicago, IL

Active since June 19, 2008PECOS Enrolled
80.51/100
CMS Quality Rating
355 E ERIE ST FL 14, CHICAGO, IL 60611(312) 238-7800(312) 238-7801 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2026, Apr 22, 2022, Dec 1, 2017 and 1 more (4 updates tracked since 2017).

About Karina J Bouffard M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARINA J BOUFFARD M.D. (NPI 1245491620) is an individual pain medicine provider in Chicago, Illinois, licensed in Illinois (036-133242) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1245491620
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameKARINA J BOUFFARDCredential: M.D.
Location Address355 E ERIE ST FL 14Chicago, IL 60611-3167
Mailing Address355 E Erie St Fl 14Chicago, IL 60611-3167 · (312) 238-7800 · Fax (312) 238-7801
Fax(312) 238-7801
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 19, 2008
Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1245491620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in IL · 036-133242
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 036-133242 (IL)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 036-133242 (IL)
355 E ERIE ST FL 14, Chicago, IL 60611

Other Identifiers 1

Medicaid036133242-1IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karina J Bouffard M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810126000
PECOS Enrollment IDI20140211000668
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.47
Promoting Interoperability100
Improvement Activities40
Cost26.22

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation (Pain Medicine)
355 E ERIE ST FL 14
CHICAGO, IL 60611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karina Bouffard's NPI number?

The NPI number for Karina Bouffard is 1245491620. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Karina Bouffard located?

Karina Bouffard practices at 355 E Erie St Fl 14, Chicago, IL 60611. The listed phone number is (312) 238-7800.

What is Karina Bouffard's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Karina Bouffard enrolled in Medicare?

Yes. Karina Bouffard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Karina Bouffard affiliated with any hospitals?

According to CMS data, Karina Bouffard is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karina Bouffard was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.